Evidence map›Paper›PMID 37340492›Full record

ArticleTrials2023

A single-blind, parallel-group randomised trial of a Technology-assisted and remotely delivered Cognitive Behavioural Therapy intervention (Tech-CBT) versus usual care to reduce anxiety in people with mild cognitive impairment and dementia: study protocol for a randomised trial.

Nadeeka Dissanayaka, Deborah Brooks, Peter Worthy, Leander Mitchell, Nancy A Pachana, Gerard Byrne, Syed Afroz Keramat, Tracy Comans, Sally Bennett, Jacki Liddle and 9 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05528302 (Technology Assisted and Remotely Delivered Cognitive Behavioural Therapy Intervention for Anxiety in People Living With Cognitive Impairment), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05528302 naactive not recruitingnot on this map

Technology Assisted and Remotely Delivered Cognitive Behavioural Therapy Intervention for Anxiety in People Living With Cognitive Impairment: Randomised Controlled Trial

TypeinterventionalSponsorThe University of QueenslandRan2023 to 2026Enrolled70ConditionsDementia, Cognitive Impairment, AnxietyArmsTech-CBT intervention
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 3 institutions in 1 country.

Nadeeka DissanayakaUQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia. n.dissanayaka@uq.edu.au.
Deborah BrooksUQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia.ORCID http://orcid.org/0000-0003-4902-0654
Peter WorthyUQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia.
Leander MitchellSchool of Psychology, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Australia.
Nancy A PachanaSchool of Psychology, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Australia.
Gerard ByrneUQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia.
Syed Afroz KeramatCentre for Health services Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia.
Tracy ComansCentre for Health services Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia.
Sally BennettSchool of Rehabilitation and Behavioural Science, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Australia.
Jacki LiddleSchool of Rehabilitation and Behavioural Science, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Australia.
Mark D ChatfieldUQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia.
Annette BroomeSchool of Psychology, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Australia.
Joanne OramMetro South Hospital and Health Services, Brisbane, Australia.
Kanaganayagam AppaduraiMetro North Hospital and Health Services, Brisbane, Australia.
Elizabeth BeattieSchool of Nursing, Faculty of Health, Queensland University of Technology, Brisbane, Australia.
Tiffany AuUQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia.
Teagan KingUQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia.
Kimberley WelshUQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia.
Ann PietschConsumer and Community Involvement Group, UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia.
The University of Queensland · AUMetro South Health · AUQueensland University of Technology · AU

Funding

National Health and Medical Research Council MRF2007405
6 · The paper itself

Abstract

backgroundAnxiety is commonly experienced by people living with mild cognitive impairment (MCI) and dementia. Whilst there is strong evidence for late-life anxiety treatment using cognitive behavioural therapy (CBT) and delivery via telehealth, there is little evidence for the remote delivery of psychological treatment for anxiety in people living with MCI and dementia. This paper reports the protocol for the Tech-CBT study which aims to investigate the efficacy, cost-effectiveness, usability and acceptability of a technology-assisted and remotely delivered CBT intervention to enhance delivery of anxiety treatment for people living with MCI and dementia of any aetiology.

methodsA hybrid II single-blind, parallel-group randomised trial of a Tech-CBT intervention (n = 35) versus usual care (n = 35), with in-built mixed methods process and economic evaluations to inform future scale-up and implementation into clinical practice. The intervention (i) consists of six weekly sessions delivered by postgraduate psychology trainees via telehealth video-conferencing, (ii) incorporates voice assistant app technology for home-based practice, and (iii) utilises a purpose-built digital platform, My Anxiety Care. The primary outcome is change in anxiety as measured by the Rating Anxiety in Dementia scale. Secondary outcomes include change in quality of life and depression, and outcomes for carers. The process evaluation will be guided by evaluation frameworks. Qualitative interviews will be conducted with a purposive sample of participants (n = 10) and carers (n = 10), to evaluate acceptability and feasibility, as well as factors influencing participation and adherence. Interviews will also be conducted with therapists (n = 18) and wider stakeholders (n = 18), to explore contextual factors and barriers/facilitators to future implementation and scalability. A cost-utility analysis will be undertaken to determine the cost-effectiveness of Tech-CBT compared to usual care. DISCUSSION: This is the first trial to evaluate a novel technology-assisted CBT intervention to reduce anxiety in people living with MCI and dementia. Other potential benefits include improved quality of life for people with cognitive impairment and their care partners, improved access to psychological treatment regardless of geographical location, and upskilling of the psychological workforce in anxiety treatment for people living with MCI and dementia.

trial registrationThis trial has been prospectively registered with ClinicalTrials.gov: NCT05528302 [September 2, 2022].

Indexed as

Cognitive Behavioral TherapyCognitive DysfunctionDementiaAnxietyCost-Benefit AnalysisHumansQuality of LifeRandomized Controlled Trials as TopicSingle-Blind MethodAnxietyCognitive behavioural therapyDementiaDigital voice assistantMild cognitive impairmentPsychotherapyRandomised controlled trialTechnologyTelehealth

Identifiers

PMID37340492
PMCPMC10280938
OpenAlexW4381430924

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.